Abstract:
PURPOSE:In June 2000, we started performing mechanical-stapled anastomosis (MSA) for Billroth-I reconstruction (B-I) in distal gastrectomy. Thus, we performed a retrospective study to compare the clinical outcome of MSA and conventional hand-sutured anastomosis (HA). METHODS:We evaluated 103 patients who underwent a B-I reconstruction. The data we collected included operative time, operative blood loss, time until oral intake, postoperative hospital stay, and anastomotic and general complications. We also examined the remnant stomach by endoscopy and classified it according to the Residue, Gastritis, Bile (RGB) criteria. RESULTS:The operative time was significantly shorter with MSA than with HA, but there were no other significant differences between the two groups. The RGB classification showed that there was more residual stomach content after MSA than after HA. The incidence of gastritis and bile reflux was not significantly different between the two procedures. CONCLUSION:The operative time for B-I reconstruction with distal gastrectomy was significantly shorter with MSA than with HA. While there were no significant disadvantages in the incidence of complications associated with MSA compared with HA, MSA resulted in more residue in the remnant stomach. The findings of this study showed the advantages and disadvantages of MSA, and suggest that MSA and HA are equivalent as anastomotic procedures in B-I reconstruction.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Takahashi T,Saikawa Y,Yoshida M,Otani Y,Kubota T,Kumai K,Kitajima Mdoi
10.1007/s00595-006-3361-zsubject
Has Abstractpub_date
2007-01-01 00:00:00pages
122-6issue
2eissn
0941-1291issn
1436-2813journal_volume
37pub_type
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